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Re: OB: PROM, poor datesFrom: Bernard Cristalli (bcrist@club-internet.fr)Sat Feb 14 01:17:03 1998
Garry E. Siegel, M.D. wrote: > > What would you do? My partner, on call this weekend, has a primip who > presented with late prenatal care. She is 34.5 weeks by dates, and 37 > by a third trimester scan. Today she came it with PROM, clear, > contracting mildly and irregularly, cervix 1.5 cm, 25%, -3, vertex. He > put her on Penicillin after a Group B strep culture, and began pitocin > at about 10 AM. > > At 6 PM she was not really contracting well, and he contemplated: > > 1. Turning the pit off, keeping her on IV Penicillin, and restarting > tomorrow. > 2. Keep on going with the pit. > 3. Stopping the pit, keeping the Penicillin, and using Prostaglandin E2 > supps (4 mg., very potent :)). > 4. Turning the pit off, and keeping her on Penicillin (oral? IV?), and > letting her just sit on the antepartum floor. > --
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